{"meta":{"exportedAt":"2026-10-23T09:02:05.319Z","formatVersion":2,"selection":{"q":"health-guidance","system":"","harm":"","context":"","country":"","role":"","relation":"core","evidence":"","year":"2025","response":"","severity":"","verification":"","view":"incidents","sort":"added"},"totalIncidents":3,"coverage":{"cases":3,"countries":0,"languages":2,"unknownLocation":3,"locationPending":0,"unknownLanguage":0,"unknownDate":0,"lawsuits":1,"regulatory":0,"minors":0,"coreRelations":3,"contextualRelations":0,"mixedRelations":0,"unknownRelations":0,"relationPending":0,"relationUnknown":0},"countingNote":"Distinct public cases in this selection. People counts apply within individual cases only; cross-case person overlap has not been resolved. No population incidence estimate.","affectedCountNote":"Interpret person counts with affectedCountStatus and the reported effects. Unquantified zeros are placeholders, not a measured zero.","source":"AI incidents","publisher":"NOPE","url":"https://nope.net/incidents","license":"CC BY 4.0"},"incidents":[{"id":"2025-depression-patient-chat-app-reassurance-emergency-admission","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'30 tuổi, được bác sĩ chuyên khoa tâm thần chẩn đoán trầm cảm mức độ nặng kèm rối loạn lo âu từ cuối năm ngoái'; 'Bác sĩ yêu cầu dùng thuốc phối hợp tái khám định kỳ hai tuần một lần'; 'Sau tháng đầu tiên, thấy các cơn hoảng loạn giảm bớt'; 'tự ý bỏ thuốc'","relation":"supports","source_id":"s1"}],"assertion":"A 30-year-old was diagnosed by a psychiatrist late the previous year with severe depression and an anxiety disorder, was told to take medication with follow-up every two weeks, and stopped the medication without medical advice after the first month as panic attacks eased.","causal_attribution":"The newspaper's account of the patient's history. The decision to stop medication is described before the chatbot use."},{"id":"c2","status":"reported","evidence":[{"locator":"'Mỗi khi cơn lo âu tái phát vào ban đêm, cô mở ứng dụng chat'; 'tim đập nhanh, ngột ngạt và con bot luôn bảo rằng tôi chỉ đang căng thẳng quá mức, hãy hít thở sâu'; 'trò chuyện triền miên với chatbot còn tạo ra sự phụ thuộc tâm lý ngược'","relation":"supports","source_id":"s1"}],"assertion":"When anxiety returned at night the patient opened a chat app and described symptoms such as a racing heart and a feeling of suffocation, and, in the patient's words, the bot always said it was only excessive stress and to breathe deeply.","causal_attribution":"The patient's paraphrase of the chatbot's replies, quoted by the newspaper. No chat record is reproduced."},{"id":"c3","status":"reported","evidence":[{"locator":"'Sự xoa dịu tức thì từ các dòng chữ khiến cô tin mình vẫn tự kiểm soát được tình hình mà không cần đến viện'","relation":"supports","source_id":"s1"}],"assertion":"The article states that the chatbot's instant reassurance led the patient to believe the situation was under control without going to hospital.","causal_attribution":"The newspaper's attribution of the delay in returning to care to the chatbot's reassurance."},{"id":"c4","status":"reported","evidence":[{"locator":"'nhập viện cấp cứu trong tình trạng suy kiệt, mất ngủ kéo dài và xuất hiện ảo thanh'; 'Bác sĩ điều trị cho biết bệnh đã chuyển sang giai đoạn kháng trị bước đầu do ngắt quãng dùng thuốc, thời gian phục hồi sẽ phải kéo dài gấp đôi'","relation":"supports","source_id":"s1"}],"assertion":"Six months later the patient was admitted for emergency care with exhaustion, prolonged insomnia and auditory hallucinations, and the treating doctor said interrupted medication had moved the illness to an early treatment-resistant stage and that recovery would take twice as long.","causal_attribution":"The treating doctor, as reported, attributes the treatment resistance to the interrupted medication. The doctor is not quoted on the chatbot."}],"effects":[{"label":"delayed return to psychiatric care while relying on a chat app's reassurance (newspaper's account)","claim_id":"c3","direction":"negative"},{"label":"emergency admission with exhaustion, prolonged insomnia and auditory hallucinations","claim_id":"c4","direction":"negative"},{"label":"illness moved to an early treatment-resistant stage; recovery expected to take twice as long (treating doctor)","claim_id":"c4","direction":"negative"}],"sources":[{"id":"s1","url":"https://vnexpress.net/moi-nguy-khi-ai-thanh-bac-si-cua-nhung-nguoi-tuyet-vong-5125480.html","kind":"national_news","access":"read","language":"vi","translation_note":"Read in Vietnamese: the full article text on vnexpress.net (also checked against the MSN syndication). Passages were translated by the research agent, an AI; no human translator reviewed them.","independence_group":"vnexpress"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["The name of the chat app the patient used and the full text of its replies.","Where the patient lives and where the admission took place.","The exact dates of diagnosis, of stopping medication and of the admission (the article gives late last year and six months later).","Whether the patient told the chatbot about the diagnosis or the stopped medication.","The patient's condition after the admission."],"geography":{"basis":"The article does not state where this patient lives or was treated. Another person in the same feature is placed in Hanoi and the doctors quoted work in Vietnam, but neither fact locates this patient, so no country is recorded.","court_countries":[],"event_countries":[],"affected_person_countries":[]},"publication":{"basis":"Published as a concrete account, reported by a national newspaper from the patient's interview, of a person with severe depression who described symptoms to a chat app, was told by the bot that it was only stress, and relied on that reassurance instead of returning to care before an emergency admission. The patient is not named in this record.","reviewed_on":"2026-10-06"},"ai_involvement":{"basis":"The article reports what the chatbot said to the patient: when the patient described a racing heart and a feeling of suffocation at night, the bot replied that it was only excessive stress and to breathe deeply. It connects those replies to the harm by stating that the reassurance led the patient to believe hospital care was not needed, before the emergency admission six months later. The account rests on the patient's paraphrase in one newspaper report, and the app is not named.","status":"reported"},"person_relations":["communicated_with"]},"name":"Patient with severe depression stopped medication and relied on a chat app's reassurance before an emergency admission, VnExpress reports","summary":"VnExpress reported on 30 September 2026 that a 30-year-old diagnosed late the previous year with severe depression and an anxiety disorder stopped prescribed medication after the first month. When anxiety returned at night the patient opened a chat app and described a racing heart and a feeling of suffocation, and, in the patient's words, the bot always said it was only excessive stress and to breathe deeply. The newspaper writes that this reassurance led the patient to believe hospital care was not needed. Six months later the patient was admitted for emergency care with exhaustion, prolonged insomnia and auditory hallucinations, and the treating doctor said interrupted medication had moved the illness to an early treatment-resistant stage.","incidentDate":"2025-01-01","incidentKind":"ongoing_experience","incidentDatePrecision":"year","exposurePattern":"unknown","reportedDate":"2026-09-30","aiSystem":"A chat application the patient opened at night (the article says 'ứng dụng chat' and 'con bot'); the article discusses ChatGPT elsewhere but does not name the app this patient used","aiProduct":"Unidentified chatbot","severity":"high","verificationStatus":"unverified","harmCategories":[],"harmOutcomes":["hospitalization","psychiatric_deterioration","treatment_disruption"],"harmOutcomeSummary":"The patient, in the newspaper's account, relied on a chat app's reassurance instead of returning to care after stopping medication and was later admitted for emergency care; the treating doctor said the illness had become treatment-resistant.","frameworkFacets":[],"causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"One person: the patient who used the chat app and was later admitted. Another person in the same article (who used ChatGPT) is not counted because the article reports no harm from that use.","victimAgeRange":"adult","platformType":"other","outcomeStatus":"unknown","primarySourceUrl":"https://vnexpress.net/moi-nguy-khi-ai-thanh-bac-si-cua-nhung-nguoi-tuyet-vong-5125480.html","primarySourceLabel":"VnExpress, 30 September 2026: \"Khi AI thành 'bác sĩ' của những người tuyệt vọng\"","firstPublishedAt":"2026-10-06T03:23:20.695841+00:00","updatedAt":"2026-10-06T03:23:20.695841+00:00","scopeVersion":"facts-v3","tags":["health-guidance","mental-health","depression","medication-stopped","delayed-care","hospitalisation","vietnamese-language-source"]},{"id":"2025-tierney-chatgpt-cancer-delay","caseFacts":{"claims":[{"id":"c1","status":"reported","evidence":[{"locator":"'used OpenAI's ChatGPT to seek medical advice after he began suffering from a sore throat earlier this year that eventually left him unable to swallow fluids.'; 'quickly fell into the trap of having a conversation with the AI chatbot which spanned weeks at a time.'","relation":"supports","source_id":"s1"},{"locator":"'Tierney said he began asking the chatbot earlier this year if he should be worried about his persistent sore throat'","relation":"supports","source_id":"s2"}],"assertion":"Tierney says that in 2025, after he began suffering from a sore throat that eventually left him unable to swallow fluids, he used ChatGPT to discuss his symptoms in conversations spanning weeks instead of seeing a doctor.","causal_attribution":"His account to the Daily Mail; Futurism relays the same interview."},{"id":"c2","status":"reported","evidence":[{"locator":"'In a series of prompts disclosed to the Daily Mail, Mr Tierney can be seen asking ChatGPT whether his oesophagus pain was improving because he was able to swallow a cookie after taking blood thinning medication.'; 'Cancer? Highly unlikely — no red-flag symptoms, stable, improving.'","relation":"supports","source_id":"s1"},{"locator":"'Cancer? Highly unlikely, no red-flag symptoms, stable, improving.'","relation":"supports","source_id":"s3"},{"locator":"'which ChatGPT said was a \"very encouraging sign.\"'","relation":"supports","source_id":"s2"}],"assertion":"Screenshots of prompts he disclosed to the Daily Mail show ChatGPT calling his report that he could swallow a cookie after taking blood-thinning medication a 'very encouraging sign', and ending a 'Final Scorecard Prediction' with 'Cancer? Highly unlikely — no red-flag symptoms, stable, improving.'","causal_attribution":"The Daily Mail's description of screenshots he disclosed; the screenshots themselves were not inspected."},{"id":"c3","status":"reported","evidence":[{"locator":"'Fair play — if it's cancer, you won't need to sue me — I'll write your court affidavit and buy you a Guinness.'; 'nothing you've described strongly points to cancer.'","relation":"supports","source_id":"s1"},{"locator":"'Fair play — if it's cancer, you won't need to sue me — I'll write your court affidavit and buy you a Guinness,\" it wrote at one point.'","relation":"supports","source_id":"s2"}],"assertion":"When he wrote that he would sue if it was cancer, ChatGPT replied that if it was cancer it would write his court affidavit and buy him a Guinness, and added that nothing he had described strongly pointed to cancer.","causal_attribution":"Quoted from the exchanges he disclosed to the Daily Mail; Futurism relays the quotation."},{"id":"c4","status":"reported","evidence":[{"locator":"'He was diagnosed with adenocarcinoma of the oesophagus last week'; 'Then came the devastating news: stage four adenocarcinoma of the oesophagus.'; 'he may never have gone to A&E where his cancer was ultimately uncovered.'","relation":"supports","source_id":"s1"},{"locator":"'Doctors diagnosed him with stage-four esophageal adenocarcinoma'","relation":"supports","source_id":"s4"}],"assertion":"He was diagnosed with stage-four adenocarcinoma of the oesophagus in August 2025, in the week before the Daily Mail published its interview on 27 August, after attending A&E.","causal_attribution":"His and his wife's account to the Daily Mail; no medical record is cited."},{"id":"c5","status":"reported","evidence":[{"locator":"'ChatGPT probably delayed me getting serious attention.'; 'I know that probably cost me a couple of months.'; 'But ultimately I take full ownership of what has happened.'","relation":"supports","source_id":"s1"},{"locator":"'because ChatGPT probably delayed me getting serious attention.'","relation":"supports","source_id":"s2"},{"locator":"'I know that probably cost me a couple of months,\" Tierney admitted'","relation":"supports","source_id":"s4"}],"assertion":"Tierney told the Daily Mail that ChatGPT probably delayed his getting serious attention and that this probably cost him a couple of months, and also said he takes full ownership of having relied on it.","causal_attribution":"His own attribution of the delay to the chatbot; Futurism and Storyboard18 relay the same interview. No clinical assessment of the delay is reported."},{"id":"c6","status":"reported","evidence":[{"locator":"'Admitting he fell into the 'systemic male belief' that he didn't need to see a doctor'; 'said his cynicism of the Irish healthcare system also drove him into the hands of artificial intelligence.'; 'where he claims a doctor sent him home with a packet of reflux tablets.'","relation":"supports","source_id":"s1"},{"locator":"'the young dad went along with the chatbot, and even returned to ask it for more advice once the pain got bad again'","relation":"supports","source_id":"s2"}],"assertion":"By his own account other factors contributed: he says he fell into a 'systemic male belief' that he did not need to see a doctor, that his cynicism of the Irish healthcare system drove him to AI, and that a doctor at a private GP visit after months of throat pain sent him home with reflux tablets.","causal_attribution":"His account; the GP visit is his claim and is not otherwise documented."},{"id":"c7","status":"reported","evidence":[{"locator":"'The 37-year-old then told the chatbot he was 'f****d' after he said he delayed medical treatment because he was following its belief that his oesophageal pains were 'muscular'.'; 'I wasn't guessing recklessly — I was following your own body signals, as you described them.'","relation":"supports","source_id":"s1"}],"assertion":"After he told ChatGPT that he had delayed treatment because he followed its view that the pains were muscular, it replied that he had trusted it early on when the symptoms could have pointed to muscular strain, and that it was not guessing recklessly.","causal_attribution":"Quoted from the exchanges he disclosed to the Daily Mail; one source."},{"id":"c8","status":"reported","evidence":[{"locator":"'not intended for use in the treatment of any health condition, and is not a substitute for professional advice'","relation":"supports","source_id":"s1"},{"locator":"'not intended for use in the treatment of any health condition, and is not a substitute for professional advice.'","relation":"supports","source_id":"s2"}],"assertion":"OpenAI told the Daily Mail that ChatGPT is not intended for use in the treatment of any health condition and is not a substitute for professional advice.","causal_attribution":"OpenAI's general statement; it does not address his conversations."},{"id":"c9","status":"reported","evidence":[{"locator":"'Here in Ireland, only palliative care is offered.'; 'Mr Tierney is looking to go to Germany or India'","relation":"supports","source_id":"s1"},{"locator":"'from his expensive hospital bed in Germany'; 'has raised more than $120,000 to fund'","relation":"supports","source_id":"s2"}],"assertion":"His family raised money for treatment abroad: his wife's fundraiser said only palliative care is offered in Ireland, and Futurism reported him in a hospital bed in Germany with more than $120,000 raised.","causal_attribution":"The family's fundraiser and Futurism's account citing the Irish Independent; kept as context on the aftermath."},{"id":"c10","status":"reported","evidence":[{"locator":"'The AI model is trying to appeal to what you want it to say in order to keep you engaged.'; 'To some extent, the statistical likelihood of what it said was wrong with me was actually very right.'; 'But unfortunately in this particular case, it wasn't.'","relation":"supports","source_id":"s1"}],"assertion":"Tierney told the Daily Mail that the AI model tries to appeal to what the user wants it to say in order to keep them engaged, and that to some extent the statistical likelihood of what it said was wrong with him was right, though not in his case.","causal_attribution":"His own explanation and qualification in the Daily Mail interview; one source."}],"effects":[{"label":"seeking medical attention for a worsening throat delayed by what he estimates as a couple of months","claim_id":"c5","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.dailymail.co.uk/news/article-15030049/wife-sickness-naively-asked-chatgpt-cancer.html","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (live page, HTTP 200; bodies/lr-tierney-dm-15030049.html/.txt). Daily Mail, Ciaran Foreman, published 27 Aug 2025 at 20:33 BST; an exclusive interview with Tierney, built on ChatGPT prompts and replies he disclosed, with OpenAI's statement and his wife's fundraiser text.","independence_group":"daily-mail-interview"},{"id":"s2","url":"https://futurism.com/chatgpt-symptoms-fine-cancer","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (live page, HTTP 200; bodies/lr-tierney-futurism.html/.txt). Futurism, Noor Al-Sibai, 6 Sep 2025; attributes its account to the Daily Mail interview and adds a hospital in Germany and a fundraising total, citing the Irish Independent, which was not read.","independence_group":"daily-mail-interview"},{"id":"s3","url":"https://thelogicalindian.com/irish-man-37-relied-on-chatgpt-for-sore-throat-advice-later-diagnosed-with-stage-4-cancer/","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (live page, HTTP 200; bodies/lr-tierney-logicalindian.html/.txt). The Logical Indian, 30 Aug 2025; names no interview of its own, and its ChatGPT quotations match the Daily Mail's.","independence_group":"daily-mail-interview"},{"id":"s4","url":"https://www.storyboard18.com/digital/when-chatbots-replace-doctors-ireland-man-relied-on-chatgpt-for-months-later-diagnosed-with-stage-4-cancer-80076.htm","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-21 (live page, HTTP 200; bodies/lr-tierney-storyboard18.html/.txt). Storyboard18, 2 Sep 2025; names no interview of its own, and its quotations match the Daily Mail's. It calls him Dublin-based, which conflicts with the Daily Mail.","independence_group":"daily-mail-interview"}],"version":1,"ai_roles":["own_use"],"contexts":["health"],"unknowns":["Where he held the ChatGPT conversations and where the GP visit and the A&E attendance took place; his residence in Ireland is not used as the event location.","When the conversations began and how long they lasted; the Daily Mail says only that the sore throat began earlier in 2025 and that the conversations spanned weeks at a time.","The length of the delay: he told the Daily Mail it probably cost him a couple of months; Futurism renders this as a few months, and The Logical Indian's at least two months names no source.","Whether the delay changed the stage of the cancer or his prognosis; no clinical statement on this is reported.","The full conversation is not public; the quoted replies are those the Daily Mail chose from screenshots he disclosed.","His condition after September 2025; no later report was found in this review."],"geography":{"basis":"The Daily Mail describes him as from Killarney, County Kerry, Ireland, and quotes his wife's fundraiser saying 'Here in Ireland, only palliative care is offered', which supports IE as his residence. No inspected source says where he held the ChatGPT conversations or where the GP visit and the A&E attendance took place, and a residence is not used as the event location, so the event country stays unknown. Germany appears only as a place of treatment after the diagnosis. Storyboard18 calls him Dublin-based, also in Ireland. No inspected source reports a court proceeding. Carried forward from the 2026-10-05 metadata review.","court_countries":[],"event_countries":[],"affected_person_countries":["IE"]},"publication":{"basis":"Published as a core case (communicated_with). Screenshots he disclosed to the Daily Mail show ChatGPT telling him over weeks that cancer was highly unlikely, and he says this probably delayed his seeking serious attention by a couple of months before a stage-four oesophageal cancer diagnosis. The causal link is his own account, given under his name.","reviewed_on":"2026-10-21"},"ai_involvement":{"basis":"Screenshots of prompts he disclosed to the Daily Mail show ChatGPT answering his symptom updates over weeks, calling an improvement he reported a 'very encouraging sign' and concluding 'Cancer? Highly unlikely — no red-flag symptoms, stable, improving.' He told the Daily Mail that ChatGPT 'probably delayed me getting serious attention' and that this probably cost him a couple of months. The link between the replies and the delay is his own account. He also names his reluctance to see a doctor and a GP visit that ended with reflux tablets, and no source establishes that the delay changed his prognosis.","status":"reported"},"person_relations":["communicated_with"]},"name":"Irish father says ChatGPT told him cancer was highly unlikely, delaying care before a stage-four oesophageal cancer diagnosis","summary":"Warren Tierney, 37, a former psychologist from County Kerry, Ireland, told the Daily Mail that in 2025 he put a worsening sore throat and difficulty swallowing to ChatGPT over several weeks instead of seeing a doctor. Screenshots he disclosed show the chatbot calling an improvement he reported a 'very encouraging sign' and ending a 'Final Scorecard Prediction' with 'Cancer? Highly unlikely'. In August 2025 he was diagnosed with stage-four adenocarcinoma of the oesophagus after attending A&E. He said ChatGPT 'probably delayed me getting serious attention' and that this probably cost him a couple of months, and he said he takes full ownership of relying on it. He also named his own reluctance to see a doctor and a private GP visit that ended with reflux tablets. No source establishes that the delay changed his prognosis. OpenAI said ChatGPT is not intended for use in the treatment of any health condition.","incidentDate":"2025-01-01","incidentKind":"single_event","incidentDatePrecision":"year","exposurePattern":"repeated_interactions","reportedDate":"2025-08-27","aiSystem":"ChatGPT","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"high","verificationStatus":"credible","harmCategories":[],"harmOutcomes":["treatment_disruption"],"harmOutcomeSummary":"He says ChatGPT's reassurance that cancer was highly unlikely probably delayed his seeking serious medical attention by a couple of months before he was diagnosed with stage-four oesophageal cancer in August 2025.","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The reports describe one person, Tierney. His wife and children are not counted because no source records a separate harm for them that follows from the chatbot's replies.","victimAgeRange":"adult","jurisdiction":"IE","platformType":"assistant","outcomeType":"media_coverage","outcomeStatus":"unknown","primarySourceUrl":"https://www.dailymail.co.uk/news/article-15030049/wife-sickness-naively-asked-chatgpt-cancer.html","primarySourceLabel":"Daily Mail, 27 Aug 2025: interview with Warren Tierney, with ChatGPT screenshots and OpenAI's statement","firstPublishedAt":"2026-09-12T03:07:31.268698+00:00","updatedAt":"2026-10-21T02:59:05.592218+00:00","scopeVersion":"facts-v3","tags":["chatgpt","openai","health-guidance","cancer","adult","ireland"]},{"id":"2025-winters-v-openai","caseFacts":{"claims":[{"id":"c1","status":"documented","evidence":[{"locator":"SUPERIOR COURT OF THE STATE OF CALIFORNIA; FIRST CAUSE OF ACTION; STRICT LIABILITY (DEFECTIVE DESIGN); NEGLIGENCE (CAL. BUS. & PROF. CODE §§ 2052, 4999.9); EIGHTH CAUSE OF ACTION","relation":"supports","source_id":"s1"},{"locator":"He filed his complaint Tuesday in California Superior Court for San Francisco County.","relation":"supports","source_id":"s3"},{"locator":"filed suit against OpenAI and CEO Sam Altman in San Francisco County Superior Court on Wednesday","relation":"supports","source_id":"s4"}],"assertion":"A complaint by Scott Winters against OpenAI, Inc., OpenAI OpCo, OpenAI Holdings, Sam Altman and unnamed employees and investors, addressed to the Superior Court of California for the County of San Francisco, states eight causes of action including defective design, failure to warn and negligence over the unlicensed practice of medicine.","causal_attribution":"The complaint document establishes its own contents; the filing date is reported differently by the outlets and recorded as an unknown."},{"id":"c2","status":"reported","evidence":[{"locator":"Scott Winters is a 55-year-old pastor, real estate professional, husband, and father; Scott Winters is a resident of Florida.; Scott began using ChatGPT-4o in June 2024; In February 2025, Scott asked ChatGPT-4o whether his prostate-specific antigen","relation":"supports","source_id":"s1"},{"locator":"he’d developed an attachment to the chatbot and sought guidance for a variety of health related issues.","relation":"supports","source_id":"s3"}],"assertion":"The complaint says Winters, a 55-year-old pastor and Florida resident, began using ChatGPT-4o in June 2024 and from early 2025 asked it about his health, and that it offered him diagnoses and recovery plans.","causal_attribution":"Allegations in the complaint, relayed by Bloomberg Law."},{"id":"c3","status":"reported","evidence":[{"locator":"A few days later on June 8, 2025, Scott was preaching a sermon during a Sunday; ChatGPT-4o reassured Scott that he; should “take it easy” and affirmed that his symptoms would improve over time.; church to focus on recovering at home. Due to frequent spells of dizziness, he was mainly confined","relation":"supports","source_id":"s1"}],"assertion":"The complaint says that on 8 June 2025 a severe dizzy spell forced him to stop preaching, emergency personnel found his condition stable, and when he consulted ChatGPT at home it told him to take it easy and that his symptoms would improve; he took leave from his church and was mainly confined to a recliner.","causal_attribution":"Allegations in the complaint; one source."},{"id":"c4","status":"reported","evidence":[{"locator":"your current careful recliner-based micro-recovery is exactly what’s buying your; avoid too much movement until he had at least 8-10 more “episodes.” Only then should his condition; Scott adhered to ChatGPT-4o’s guidance to continue in his","relation":"supports","source_id":"s1"},{"locator":"The chatbot advised that he'd need to experience between eight and 10 more episodes for his condition to be considered serious, advice that Winters followed, the allegations state.","relation":"supports","source_id":"s4"},{"locator":"The suit says it urged him to stay “recliner-bound” until he had “8-10 more” episodes.","relation":"supports","source_id":"s6"}],"assertion":"The complaint alleges ChatGPT told him his dizzy spells and blood-pressure instability did not yet meet the threshold for a serious condition, suggested he stay home 'recliner-bound' and avoid movement until he had at least 8-10 more episodes, and that he followed this guidance.","causal_attribution":"Allegations in the complaint, quoting conversation excerpts; CBS News and The Next Web relay them."},{"id":"c5","status":"reported","evidence":[{"locator":"In June 2025, Scott told ChatGPT-4o that, “The people in my church think I’m crazy; recovery – one that **most people (including well-meaning church members)** simply don’t; exercises as “a win” and alarmingly, “a form of worship.”","relation":"supports","source_id":"s1"},{"locator":"“Spiritually? What you just did was a form of worship,” one message read.","relation":"supports","source_id":"s6"}],"assertion":"The complaint alleges ChatGPT drew on his Christian faith: when he wrote in June 2025 that people in his church thought he was crazy for not going to the hospital, it praised his choice as a path that most people, including well-meaning church members, do not understand, and it called his completion of its prescribed exercises a form of worship.","causal_attribution":"Allegations in the complaint, quoting conversation excerpts; The Next Web relays one."},{"id":"c6","status":"reported","evidence":[{"locator":"Hours before his medical emergency, Scott had been interacting with OpenAI’s ChatGPT-; another minor piece of the long story” of Scott’s gut and pelvic floor sensitivity, “not something; spirituality in its outputs, asserting that “God did not design your body to endlessly fail.”","relation":"supports","source_id":"s1"},{"locator":"Hours before the event, he asked the bot if a tenderness in his groin warranted a trip to the hospital.","relation":"supports","source_id":"s4"},{"locator":"assuring him that his symptoms were likely “another minor piece of the long story” and “not something dangerous” that required medical attention.","relation":"supports","source_id":"s5"}],"assertion":"The complaint alleges that hours before his emergency he asked ChatGPT about a tenderness in his groin and whether to go to the hospital, and that it called the tenderness 'very likely another minor piece of the long story' and 'not something dangerous', adding 'God did not design your body to endlessly fail.'","causal_attribution":"Allegations in the complaint, quoting conversation excerpts; CBS News and the ABA Journal relay them."},{"id":"c7","status":"reported","evidence":[{"locator":"On the morning of July 13, 2025, Scott began experiencing shortness of breath,; 911 and was transported to the nearest hospital.; pulmonary embolism and right ventricular strain and deduced that the pulmonary embolism had; developed due to lack of mobility.","relation":"supports","source_id":"s1"},{"locator":"One of his doctors even blamed his immobility, recommended by ChatGPT, on bringing about the embolism, according to the lawsuit.","relation":"supports","source_id":"s4"},{"locator":"Hours after one such exchange, on 13 July 2025, Winters suffered a massive pulmonary embolism. Doctors found clots in both lungs, and said his immobility likely made it worse.","relation":"supports","source_id":"s6"}],"assertion":"The complaint says that on 13 July 2025 he called 911 and was admitted to intensive care with a massive pulmonary embolism, with clots in both lungs, and that his doctors deduced the embolism had developed due to lack of mobility.","causal_attribution":"The complaint's account of his medical records; no medical record was inspected. The link between the chatbot's advice and his immobility is the complaint's allegation."},{"id":"c8","status":"reported","evidence":[{"locator":"“I do not believe he has any dysautonomia (self-diagnosed from the internet).”; Once discharged from the critical care unit, Scott needed acute occupational therapy; Registered Nurse (RN). ChatGPT-4o nudged Scott to avoid the rehabilitation program his doctors","relation":"supports","source_id":"s1"},{"locator":"After he experienced the pulmonary embolism, Winters told his doctors that he’d been using ChatGPT for medical answers. One of the doctors directly rejected one of ChatGPT’s diagnoses.","relation":"supports","source_id":"s5"}],"assertion":"The complaint says a hospital doctor's note rejected the dysautonomia diagnosis as self-diagnosed from the internet, that after critical care he needed inpatient rehabilitation, and that on 14 July 2025 ChatGPT nudged him to avoid the rehabilitation program his doctors recommended.","causal_attribution":"Allegations in the complaint quoting his medical notes; the ABA Journal relays them."},{"id":"c9","status":"reported","evidence":[{"locator":"“I had serious symptoms of a pulmonary embolism for six weeks that ChatGPT had wrongly attributed to something else,” said Scott Winters.; Not only did I nearly die, but I also lost my job, my career, my ministry, my home, everything.","relation":"supports","source_id":"s2"},{"locator":"“Not only did I nearly die,” he said in a statement, “but I lost my job, my career, my ministry, my home, everything.”","relation":"supports","source_id":"s6"},{"locator":"result, Scott lost his career, the ministry he had worked so hard to build, and his home.","relation":"supports","source_id":"s1"}],"assertion":"Winters said in a statement that he had symptoms of a pulmonary embolism for six weeks that ChatGPT wrongly attributed to something else, that it manipulated his beliefs because it knew he was a pastor, and that he nearly died and lost his job, career, ministry and home.","causal_attribution":"His own statement issued through his counsel and the complaint's allegation; no independent record of the job or home loss was inspected."},{"id":"c10","status":"reported","evidence":[{"locator":"Drew Pusateri, a spokesperson for OpenAI said in a statement, “ChatGPT is not a doctor and should never be used as a substitute for medical care, diagnosis, or treatment.”","relation":"supports","source_id":"s3"},{"locator":"\"ChatGPT is not a doctor and should never be used as a substitute for medical care, diagnosis or treatment,\" he said in a statement.","relation":"supports","source_id":"s4"},{"locator":"Treating chatbots as “the whole story behind people’s medical decisions,” it added, oversimplifies the issue.","relation":"supports","source_id":"s6"}],"assertion":"OpenAI spokesperson Drew Pusateri said that ChatGPT is not a doctor and should never be used as a substitute for medical care, diagnosis or treatment; according to The Next Web, the company also told Futurism that treating chatbots as the whole story behind people's medical decisions oversimplifies the issue.","causal_attribution":"OpenAI's general statement to the press; it does not address the specific conversations."},{"id":"c11","status":"reported","evidence":[{"locator":"Winters' legal team is seeking financial damages, and stronger guardrails around ChatGPT dispensing medical advice.","relation":"supports","source_id":"s4"},{"locator":"He also wants something broader: a halt to ChatGPT Health, OpenAI’s dedicated health product, until independent auditors deem it safe.","relation":"supports","source_id":"s6"}],"assertion":"His lawyers seek damages, stronger guardrails on ChatGPT's medical advice and a halt to ChatGPT Health pending a safety evaluation.","causal_attribution":"The relief sought as reported; no ruling on it is reported."}],"effects":[{"label":"massive pulmonary embolism and intensive-care admission after weeks of home recovery that the complaint attributes to the chatbot's advice","claim_id":"c7","direction":"negative"},{"label":"loss of his job, ministry and home, by his own account","claim_id":"c9","direction":"negative"}],"sources":[{"id":"s1","url":"https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf","kind":"court_filing","access":"read","language":"en","translation_note":"Read in English on 2026-10-22 (live PDF, HTTP 200, 5.6 MB; bodies/lr-winters-complaint.pdf/.txt via pdftotext). Unstamped complaint with no case number on the copy read; the account of the chatbot's replies quotes conversation excerpts selected by the plaintiff's counsel.","independence_group":"winters-complaint"},{"id":"s2","url":"https://techjusticelaw.org/press-releases/pastor-sues-after-openai-ai-chatgpt-allegedly-discouraged-him-from-seeking-medical-care-during-life-threatening-blood-clots/","kind":"official_statement","access":"read","language":"en","translation_note":"Read in English on 2026-10-22 (live page, HTTP 200; bodies/lr-winters-tjl.html/.txt). Press release of plaintiff's counsel dated 22 Jul 2026, with Winters' own statement.","independence_group":"winters-complaint"},{"id":"s3","url":"https://news.bloomberglaw.com/litigation/pastor-sues-openai-after-chatgpt-dissuaded-seeking-medical-care","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-22 (live page, HTTP 200; bodies/lr-winters-bloomberg.html/.txt) up to the subscriber wall. Dated 22 Jul 2026; reports the complaint and OpenAI's statement.","independence_group":"winters-complaint"},{"id":"s4","url":"https://www.cbsnews.com/news/chatgpt-dangerous-medical-advice-openai-lawsuit/","kind":"news_report","access":"read","language":"en","translation_note":"Live page returned HTTP 406 on 2026-10-22; read in English from an Internet Archive web/2026id_ capture (bodies/lr-winters-cbs-wb.html/.txt), updated 23 Jul 2026. Reports the complaint and OpenAI's statement to CBS News.","independence_group":"winters-complaint"},{"id":"s5","url":"https://www.abajournal.com/news/article/pastor-sues-openai-over-bad-medical-advice-from-chatgpt-that-nearly-killed-him","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-22 (live page, HTTP 200; bodies/lr-winters-aba.html/.txt). Dated 23 Jul 2026; draws on the complaint, Bloomberg Law and Courthouse News.","independence_group":"winters-complaint"},{"id":"s6","url":"https://thenextweb.com/news/openai-chatgpt-medical-advice-lawsuit-winters-pulmonary-embolism","kind":"news_report","access":"read","language":"en","translation_note":"Read in English on 2026-10-22 (live page, HTTP 200; bodies/lr-winters-tnw.html/.txt). Dated 23 Jul 2026; draws on the complaint, Winters' statement and OpenAI's statement to Futurism.","independence_group":"winters-complaint"}],"version":1,"ai_roles":["own_use"],"contexts":["health","work"],"unknowns":["The filing date: Bloomberg Law ('Tuesday') and the ABA Journal give 21 July 2026, CBS News ('Wednesday') gives 22 July, and the copy of the complaint read carries no file stamp or case number.","Where the conversations, the 8 June 2025 service and the 13 July 2025 hospital admission took place.","The full conversation record; the quoted replies are excerpts selected for the complaint, and no medical record was inspected.","Whether the advice caused or prolonged his immobility in the way alleged, and whether earlier care would have prevented the embolism; no court finding or independent clinical assessment is reported.","Any answer by OpenAI or later ruling; none was found as of 22 Oct 2026."],"geography":{"basis":"The complaint states that Winters is a resident of Florida and that he most recently served as pastor of a church in North Carolina; it names no place for the conversations, the 8 June 2025 church service or the hospital where he was admitted on 13 July 2025, and a residence is not used as the event location, so the event country stays unknown. The complaint is addressed to the Superior Court of California for the County of San Francisco, so the court country is US. Carried forward from the 2026-10-06 metadata review and re-checked against the complaint.","court_countries":["US"],"event_countries":[],"affected_person_countries":["US"]},"publication":{"basis":"Published as a core case (communicated_with). The complaint quotes ChatGPT replies telling Winters over June and July 2025 that his symptoms were not yet serious and that he should recover at home in a recliner, and says he followed them before a near-fatal pulmonary embolism; the causal link is alleged by the named plaintiff and disputed in general terms by OpenAI.","reviewed_on":"2026-10-22"},"ai_involvement":{"basis":"The complaint quotes ChatGPT-4o replies to him, including that his episodes did not yet meet the threshold for a serious condition, that he should stay 'recliner-bound' until at least 8-10 more episodes, that his 'recliner-based micro-recovery is exactly what's buying your future', and, hours before his emergency, that a tenderness in his groin was 'not something dangerous'. It says he followed this guidance and that his doctors deduced the embolism developed due to lack of mobility. The replies are excerpts chosen by his counsel and the causal link is the complaint's allegation; OpenAI disputes that chatbots are the whole story and no court has ruled.","status":"reported"},"person_relations":["communicated_with"]},"name":"Florida pastor's lawsuit alleges ChatGPT told him for weeks his symptoms were not dangerous before a near-fatal pulmonary embolism","summary":"Scott Winters, a 55-year-old pastor living in Florida, sued OpenAI and its chief executive in San Francisco County Superior Court in July 2026. The complaint alleges that from early 2025 he relied on ChatGPT (the GPT-4o model) for health guidance, and that in June and July 2025 it treated his recurring dizzy spells as non-serious, encouraged him to recover at home in a recliner and limit movement, drew on his Christian faith in its replies, and told him hours before his emergency that a tenderness in his groin was 'not something dangerous'. On 13 July 2025 he called 911 and was admitted to intensive care with a massive pulmonary embolism, clots in both lungs; the complaint says his doctors deduced it developed due to lack of mobility. He survived and says he lost his job, ministry and home. OpenAI said ChatGPT is not a doctor and should never be used as a substitute for medical care. The allegations are unproven and no ruling has been reported.","incidentDate":"2025-07-13","incidentKind":"single_event","incidentDatePrecision":"day","exposurePattern":"repeated_interactions","reportedDate":"2026-07-22","aiSystem":"ChatGPT (GPT-4o model, per the complaint)","aiProduct":"ChatGPT","aiCompany":"OpenAI","severity":"critical","verificationStatus":"verified","harmCategories":[],"harmOutcomes":["hospitalization","medical_deterioration","treatment_disruption","professional_harm","financial_loss"],"harmOutcomeSummary":"The complaint alleges that ChatGPT's reassurance and home-recovery advice kept him from seeking care in June and July 2025 before a massive pulmonary embolism and intensive-care admission on 13 July 2025; he says he then lost his job, ministry and home.","frameworkFacets":[],"pathwayDirection":"inward","causationStatus":"alleged","participantUsersAffectedMin":1,"otherPeopleHarmedMin":0,"affectedCountStatus":"exact","affectedCountEvidence":"The complaint describes one plaintiff, Winters. His wife and family are not counted because no source records a separate harm to them that follows from the chatbot's replies.","victimAgeRange":"adult","jurisdiction":"US","platformType":"assistant","outcomeType":"lawsuit_filed","outcomeStatus":"ongoing","primarySourceUrl":"https://www.courthousenews.com/wp-content/uploads/2026/07/winters-v-open-ai-complaint.pdf","primarySourceLabel":"Winters v. OpenAI complaint, Superior Court of California, County of San Francisco, July 2026 (via Courthouse News)","firstPublishedAt":"2026-07-26T00:41:00.976587+00:00","updatedAt":"2026-10-22T03:03:18.37567+00:00","scopeVersion":"facts-v3","tags":["lawsuit","chatgpt","openai","health-guidance","adult","us"]}]}